NSG 3450 EXAM 2 (GALEN) NEWEST 2026 ACTUAL
EXAM TEST BANK| NSG3450 MENTAL HEALTH EXAM
2 REVIEW WITH 300 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(BRAND NEW!!)
1. A nurse is establishing a therapeutic relationship with a newly
admitted patient. Which action by the nurse best demonstrates
the "orientation phase" of the Peplau nurse-patient relationship?
A. Summarizing the goals achieved during hospitalization
B. Establishing a formal contract with the patient regarding
meeting times and confidentiality
C. Providing the patient with discharge resources for outpatient
therapy
D. Exploring the patient's unresolved childhood conflicts
Answer: B
Rationale: The orientation phase involves establishing a formal
and informal contract between nurse and patient, including
meeting times, confidentiality, and the purpose of the
relationship .
2. A patient tells the nurse, "You remind me so much of my
favorite aunt who always took care of me." The nurse recognizes
this as an example of:
A. Countertransference
B. Transference
C. Boundary violation
1
,D. Self-disclosure
Answer: B
Rationale: Transference occurs when a patient unconsciously
transfers feelings and behaviors related to significant figures
from their past onto the nurse .
3. A nurse feels frustrated with a patient who is non-adherent to
treatment and realizes the patient reminds the nurse of a
younger sibling who was always "rebellious." This is an example
of:
A. Transference
B. Empathy
C. Countertransference
D. Therapeutic use of self
Answer: C
Rationale: Countertransference occurs when the nurse
unconsciously displaces feelings related to significant figures from
the nurse's past onto the patient, which can impair the therapeutic
relationship .
4. Which of the following is an example of a boundary violation
in the nurse-patient relationship?
A. The nurse accepts a small, homemade thank-you card from a
patient
B. The nurse maintains a professional distance and avoids self-
disclosure
C. The nurse meets a patient for coffee outside the hospital to
discuss their emotional problems
D. The nurse ends a session when the patient becomes verbally
2
,aggressive
Answer: C
Rationale: Meeting a patient outside the therapeutic setting for
social purposes blurs professional boundaries. The purpose of
boundaries is to protect the patient .
5. A nurse is using the "therapeutic use of self." What does this
concept primarily involve?
A. Using personality traits and talents as gifts to promote healing
B. Prescribing medications to manage psychiatric symptoms
C. Performing physical assessments to rule out medical causes of
behavior
D. Enforcing unit rules consistently without exception
Answer: A
Rationale: Therapeutic use of self involves using one's personality,
insights, perceptions, and talents as instruments to facilitate
healing and growth in patients .
6. Which of the following is a primary goal of the nurse-patient
relationship in psychiatric nursing?
A. Meeting the nurse's personal needs for validation
B. Facilitating communication of distressing thoughts and feelings
C. Encouraging the patient to become dependent on the nurse
D. Solving all of the patient's problems for them
Answer: B
Rationale: Goals include facilitating communication, assisting with
problem-solving, examining self-defeating behaviors, promoting
self-care, and providing education .
3
, 7. A patient asks the nurse, "Will you be my friend on
Facebook?" What is the nurse's best response?
A. "Sure, I would love to stay in touch after you discharge."
B. "I cannot accept your friend request because it would blur our
professional relationship."
C. "Maybe after you are discharged from the hospital."
D. "Why would you want to be my friend?"
Answer: B
Rationale: Maintaining clear professional boundaries is essential.
Accepting social media friend requests blurs the boundary
between therapeutic and social relationships .
8. A patient diagnosed with borderline personality disorder tells
the nurse, "You are the only one who understands me. The other
nurses are mean and don't care." The nurse should recognize this
as:
A. An accurate observation
B. Splitting
C. Countertransference
D. A therapeutic breakthrough
Answer: B
Rationale: Splitting is a primitive defense mechanism where the
patient sees people as "all good" or "all bad," common in
borderline personality disorder .
9. A nurse is caring for a patient who is withdrawn and refuses to
speak. Which nursing intervention is most appropriate initially?
A. Sit quietly with the patient and allow them to initiate
interaction when ready
4
EXAM TEST BANK| NSG3450 MENTAL HEALTH EXAM
2 REVIEW WITH 300 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(BRAND NEW!!)
1. A nurse is establishing a therapeutic relationship with a newly
admitted patient. Which action by the nurse best demonstrates
the "orientation phase" of the Peplau nurse-patient relationship?
A. Summarizing the goals achieved during hospitalization
B. Establishing a formal contract with the patient regarding
meeting times and confidentiality
C. Providing the patient with discharge resources for outpatient
therapy
D. Exploring the patient's unresolved childhood conflicts
Answer: B
Rationale: The orientation phase involves establishing a formal
and informal contract between nurse and patient, including
meeting times, confidentiality, and the purpose of the
relationship .
2. A patient tells the nurse, "You remind me so much of my
favorite aunt who always took care of me." The nurse recognizes
this as an example of:
A. Countertransference
B. Transference
C. Boundary violation
1
,D. Self-disclosure
Answer: B
Rationale: Transference occurs when a patient unconsciously
transfers feelings and behaviors related to significant figures
from their past onto the nurse .
3. A nurse feels frustrated with a patient who is non-adherent to
treatment and realizes the patient reminds the nurse of a
younger sibling who was always "rebellious." This is an example
of:
A. Transference
B. Empathy
C. Countertransference
D. Therapeutic use of self
Answer: C
Rationale: Countertransference occurs when the nurse
unconsciously displaces feelings related to significant figures from
the nurse's past onto the patient, which can impair the therapeutic
relationship .
4. Which of the following is an example of a boundary violation
in the nurse-patient relationship?
A. The nurse accepts a small, homemade thank-you card from a
patient
B. The nurse maintains a professional distance and avoids self-
disclosure
C. The nurse meets a patient for coffee outside the hospital to
discuss their emotional problems
D. The nurse ends a session when the patient becomes verbally
2
,aggressive
Answer: C
Rationale: Meeting a patient outside the therapeutic setting for
social purposes blurs professional boundaries. The purpose of
boundaries is to protect the patient .
5. A nurse is using the "therapeutic use of self." What does this
concept primarily involve?
A. Using personality traits and talents as gifts to promote healing
B. Prescribing medications to manage psychiatric symptoms
C. Performing physical assessments to rule out medical causes of
behavior
D. Enforcing unit rules consistently without exception
Answer: A
Rationale: Therapeutic use of self involves using one's personality,
insights, perceptions, and talents as instruments to facilitate
healing and growth in patients .
6. Which of the following is a primary goal of the nurse-patient
relationship in psychiatric nursing?
A. Meeting the nurse's personal needs for validation
B. Facilitating communication of distressing thoughts and feelings
C. Encouraging the patient to become dependent on the nurse
D. Solving all of the patient's problems for them
Answer: B
Rationale: Goals include facilitating communication, assisting with
problem-solving, examining self-defeating behaviors, promoting
self-care, and providing education .
3
, 7. A patient asks the nurse, "Will you be my friend on
Facebook?" What is the nurse's best response?
A. "Sure, I would love to stay in touch after you discharge."
B. "I cannot accept your friend request because it would blur our
professional relationship."
C. "Maybe after you are discharged from the hospital."
D. "Why would you want to be my friend?"
Answer: B
Rationale: Maintaining clear professional boundaries is essential.
Accepting social media friend requests blurs the boundary
between therapeutic and social relationships .
8. A patient diagnosed with borderline personality disorder tells
the nurse, "You are the only one who understands me. The other
nurses are mean and don't care." The nurse should recognize this
as:
A. An accurate observation
B. Splitting
C. Countertransference
D. A therapeutic breakthrough
Answer: B
Rationale: Splitting is a primitive defense mechanism where the
patient sees people as "all good" or "all bad," common in
borderline personality disorder .
9. A nurse is caring for a patient who is withdrawn and refuses to
speak. Which nursing intervention is most appropriate initially?
A. Sit quietly with the patient and allow them to initiate
interaction when ready
4
